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Individual

NICOLE MARIE KASSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 233-5129
Mailing address
820 E 31ST ST, SOUTH SIOUX CITY, NE 68776-3353
(402) 494-7055

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
1138
IA
225200000X
Physical Therapy Assistant
235
SD
225200000X
Physical Therapy Assistant
Primary
791
NE

Other

Enumeration date
09/06/2009
Last updated
09/06/2009
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